LACEY D RUST

FARGO, ND
NPI1447653910
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: ND  964)
Additional Taxonomies225XP0200X Occupational Therapist, Pediatrics
(Licence: MN  103538)
Enumeration Date2014-09-29
Last Update Date2014-09-29
Business Address
Mrs. LACEY D RUST MS OTR/L
801 BROADWAY N
FARGO, ND 58102-3641
Phone number: 701-234-6669
Mailing Address
Mrs. LACEY D RUST MS OTR/L
801 BROADWAY N
FARGO, ND 58102-3641
Phone number: 701-234-6669